Cavernosal abscess is a rare diagnosis. Disparity exists in the literature but the most common colonising agents appear to be and . We describe a 75-year-old man who presented with sepsis and was found to have positive blood and urinary cultures. Following initial treatment for sepsis of unknown origin, computed tomography demonstrated a bilateral cavernosal abscess. The patient was successfully treated with incision and drainage, multiple re-looks and a delayed closure, alongside a course of appropriate antibiotics. A defect in the bulbar urethra was identified and repaired with bladder drainage via both suprapubic and urethral catheters. Following discharge, a urethrogram showed no urethral leak or stricture and the patient is now catheter free.
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| http://dx.doi.org/10.1308/rcsann.2019.0038 | DOI Listing |
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